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Clinical Care Manager - CA

Independent Living Systems logo

Independent Living Systems

San Diego, California

The Clinical Care Manager plays a pivotal role in coordinating and overseeing patient care to ensure optimal health outcomes.

Posted Aug 18

Unit and setting
Case Management Develop, implement, and monitor individualized care plans for patients with complex medical needs.
License
RN or LVN license Current and valid professional BSW, MSW or LVN, RN, licensure in the State of CA.professional BSW, MSW or LVN, RN licensure in California
Term
Permanent

Do you qualify?

License
professional BSW, MSW or LVN, RN licensure in California Current and valid professional BSW, MSW or LVN, RN, licensure in the State of CA. Check your license
License
California Driver's License Current and valid California (CA) Driver’s License. Check your license
Certification
CPR Certification CPR Certification required
Education
Bachelor's degree in Nursing, Social Work, Healthcare Administration, or related field Bachelor’s degree in Nursing, Social Work, Healthcare Administration, or a related field.
Experience
at least 5 years in clinical care coordination or case management Requires at least 5 years of experience in clinical care coordination or case management.
Experience
experience working with community agencies and programs Requires knowledge of and experience working with community agencies and programs.
Experience
experience with Medi-Cal eligibility guidelines, application, and renewal/redetermination Requires experience with Medi-Cal eligibility guidelines, application, and renewal/redetermination process.
Also asks
strong problem-solving and customer service skills Requires strong problem-solving and customer service skills.
Also asks
CA resident and must reside in CA while employed Must be a CA Resident and must reside in CA while employed
Also asks
use personal vehicle and current vehicle registration Must use personal vehicle and current vehicle registration required.
Also asks
proof of auto insurance maintaining CA minimum coverage Proof of auto insurance required, must maintain CA minimum insurance coverage.

Preferred

Certification
Certification in Case Management (CCM) or equivalent credential Certification in Case Management (CCM) or equivalent credential.
Education
Master's degree in Nursing, Social Work, Public Health, or Healthcare Administration Master’s degree in Nursing, Social Work, Public Health, or Healthcare Administration.
Experience
experience working within California's healthcare system and state-specific healthcare policies Experience working within California’s healthcare system and familiarity with state-specific healthcare policies.
Experience
expertise in managing chronic disease populations and complex care cases Demonstrated expertise in managing chronic disease populations and complex care cases.
Also asks
bilingual abilities, particularly in Spanish Bilingual abilities, particularly in Spanish, to effectively communicate with diverse patient populations.

What it pays

Against similar roles
San Diego staff RN median is $52/hrSan Diego staff RN postings that state pay run $39/hr to $65/hr, the middle half $42/hr to $62/hr, across 97 postings. This posting's $36/hr to $65/hr is wider than that, so where you land depends on the offer.

The role and schedule

Patients
Develop, implement, and monitor individualized care plans for patients with complex medical needs. Develop, implement, and monitor individualized care plans for patients with complex medical needs.
Day to day
develop, implement, and monitor individualized care plans for complex medical needs
Day to day
coordinate communication among providers, patients, and families Coordinate communication among healthcare providers, patients, and families to ensure continuity of care.
Day to day
conduct comprehensive assessments to identify needs, risks, and barriers Conduct comprehensive assessments to identify patient needs, risks, and barriers to care.
Day to day
facilitate referrals to healthcare services and community resources Facilitate referrals to appropriate healthcare services and community resources.
Day to day
track patient progress and outcomes and adjust care plans Track patient progress and outcomes, adjusting care plans as necessary to meet evolving needs.
Day to day
ensure compliance with regulations, policies, and quality standards Ensure compliance with healthcare regulations, policies, and quality standards.
Day to day
provide education and support to patients and families regarding care management Provide education and support to patients and families regarding treatment plans and health management.
Day to day
collaborate with insurance providers and case management teams to optimize resources Collaborate with insurance providers and case management teams to optimize resource utilization.
Travel
must use personal vehicle

The workplace

Independent Living Systems logo
Independent Living Systems
Hiring organization

Worth asking

  • Can you walk me through base pay range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
More questions to ask
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

Your fit

Original listing

Read full text

We are seeking a Clinical Care Manager – CA to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role

The Clinical Care Manager plays a pivotal role in coordinating and overseeing patient care to ensure optimal health outcomes. This position involves managing care plans, collaborating with multidisciplinary healthcare teams, and serving as a liaison between patients, families, and providers. The Clinical Care Manager is responsible for assessing patient needs, facilitating access to appropriate services, and monitoring progress to adjust care strategies as necessary.

By integrating clinical expertise with strong organizational skills, this role aims to enhance patient satisfaction and improve overall care quality. Ultimately, the Clinical Care Manager ensures that care delivery is efficient, patient-centered, and aligned with best practices and regulatory standards.

Minimum Qualifications

  • Bachelor’s degree in Nursing, Social Work, Healthcare Administration, or a related field.
  • Requires at least 5 years of experience in clinical care coordination or case management.
  • Requires knowledge of and experience working with community agencies and programs.
  • Current and valid professional BSW, MSW or LVN, RN, licensure in the State of CA.
  • Requires experience with Medi-Cal eligibility guidelines, application, and renewal/redetermination process.
  • Requires strong problem-solving and customer service skills.
  • Must be a CA Resident and must reside in CA while employed
  • Current and valid California (CA) Driver’s License.
  • Must use personal vehicle and current vehicle registration required.
  • Proof of auto insurance required, must maintain CA minimum insurance coverage.
  • CPR Certification required

Preferred Qualifications

  • Master’s degree in Nursing, Social Work, Public Health, or Healthcare Administration.
  • Certification in Case Management (CCM) or equivalent credential.
  • Experience working within California’s healthcare system and familiarity with state-specific healthcare policies.
  • Demonstrated expertise in managing chronic disease populations and complex care cases.
  • Bilingual abilities, particularly in Spanish, to effectively communicate with diverse patient populations.

Responsibilities

  • Develop, implement, and monitor individualized care plans for patients with complex medical needs.
  • Coordinate communication among healthcare providers, patients, and families to ensure continuity of care.
  • Conduct comprehensive assessments to identify patient needs, risks, and barriers to care.
  • Facilitate referrals to appropriate healthcare services and community resources.
  • Track patient progress and outcomes, adjusting care plans as necessary to meet evolving needs.
  • Ensure compliance with healthcare regulations, policies, and quality standards.
  • Provide education and support to patients and families regarding treatment plans and health management.
  • Collaborate with insurance providers and case management teams to optimize resource utilization.

What's around it?

In San Diego, CA

San Diego, CAFrom Census ACS 2024.

Living costs about 12% above the US average

Median rent
$2,313/mo
Household income
$108,077/yr, all local households, not nurse pay

See San Diego, CA

Nurses on this role

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